Active NPI
Judith Ann Pascarella, PA-C
- Physician Assistant
- Ft Carson, CO
National Provider Identifier
1679071310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0006752
- Practice address
- Evans Army Community Hospital, 1650 Cochrane Cir
B7500
Ft Carson, CO 80913 - Phone
- (719) 526-4911
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0006752 | MD | Primary |
Addresses
Primary practice location
Evans Army Community Hospital, 1650 Cochrane Cir
B7500
Ft Carson, CO 80913
Mailing address
Evans Army Community Hospital, 1650 Cochrane Cir
B7500
Ft Carson, CO 80913
Phone (719) 526-4911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0006752 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Hospital Center Corp | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Washington, DC
- NPI 1629394424
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
-
- General Practice Physician
- Washington, DC
- NPI 1700154226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1679071310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR",
"address_2": "B7500",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR",
"address_2": "B7500",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCARELLA",
"first_name": "JUDITH",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-29",
"last_updated": "2023-08-16",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0006752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.